Individual
KELSI WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 JEFFERSON ST, BARABOO, WI 53913-1503
(608) 356-8532
(608) 355-3333
Mailing address
1414 JEFFERSON ST, BARABOO, WI 53913-1503
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2303-19
WI
Other
Enumeration date
10/02/2015
Last updated
10/02/2015
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